Why the study?
Do aviation-based crew resource management initiatives improve the perception of patient safety among operating room personnel?
Do aviation-based crew resource management initiatives improve the perception of patient safety among operating room personnel?
Aviation-based crew resource management initiatives, such as preprocedural briefings, can improve the perception of patient safety among operating room personnel, particularly nurses.
May support targeted CRM training for OR safety climate among nurses; hypothesis-generating, needs RCTs before practice change.
To improve safety in the operating theater, a company of aviation pilots was employed to guide implementation of preprocedural briefings. A 5-point Likert scale survey that assessed the attitudes of operating room personnel toward patient safety was distributed before and 6 months following implementation of the briefings. Using Mann-Whitney analysis, the survey showed a significant (P < .05) improvement in 2 questions (of 13) involving reporting error and 2 questions (of 11) involving patient safety climate. When analyzed by occupation, there were no significant changes for faculty physicians; for resident physicians, there was a significant improvement in 1 question (of 13) regarding error reporting. For nurses, there were significant improvements in 3 questions (of 4) involving teamwork, 1 question (of 13) involving reporting error, and 3 questions (of 11) regarding patient safety climate. These results suggest that aviation-based crew resource management initiatives lead to an improved perception of patient safety, which was largely demonstrated by nursing personnel.
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Gore et al. (2009) studied this question.
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